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FORWARP ° ' " " NON-HAL. 00US WASTE MANIFEST <br /> N <br /> INCORPORATED WASTE TREATMENT A D DISPOSAL FACILITY <br /> .r.r <br /> JOB ACCEPTANCE NO. 724911 7:71 <br /> ( TQRCR�8'I'REE UIRED SONAL PROTECTIVE EQUIPMEt <br /> TfGLOVES []GOGGLES ❑RESPIRATOR ]HARD HAT <br /> q G,,A,PQR ❑TY-VEK [-]OTHER <br /> CU�TA, IP A 95207 `` ;: SPECIAL 1 IA�dDLJNG;PROG D( R ;3 y*+' <br /> • <br /> PHONE <br /> C ST,V4B§QN; <br /> SIGNATU,R�CSF AUTHORIZELrAGENT/TITLE DATE <br /> t <br /> ` ( C <br /> WASTE TYPE, RECEIVING FACILITY <br /> i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> .4 <br /> CA (209) 982- 1009 FAX <br /> N19Af:D 'i`RtT+✓ICING. ItC. TRACOy CK IRU <br /> AQ@BESSg TRl�ILE131�y <br /> . C,}TYr S§TATF,,ZIP 945:.4 TRAILER LIC. # <br /> END DUMP BOTTOM DUMP TRAnFER <br /> ❑ ❑ <br /> SIGNgURE OF AUTHORIZED AGENT OR DRIVER GATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBI� YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use i <br /> reasonable efforts to promptly notify Disposer of its inability to accept the , DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS ' <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATUR6OF AUTHORIZED.AGENT <br /> i ❑ ASH <br /> r <br /> L1` ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 <br /> FO (C9511NH)6-96 SALES COPY MANIFEST # C 647 ,915 <br />